A nurse wants to head a project to improve medication administration on their unit. They work with other nurses on the unit to find evidence-based practice. What type of a research project is this?

Correct Answer: D

Rationale: The correct answer is D: QI (Quality Improvement). In this scenario, the nurse is leading a project to improve medication administration, which aligns with the goals of a QI project. The focus is on implementing evidence-based practices to enhance patient care outcomes. QI projects aim to make systematic changes to improve processes and outcomes within a healthcare setting. A: Qualitative research focuses on exploring experiences, perceptions, and meanings, rather than making systematic improvements to processes. B: PICOT is a framework used to formulate research questions for evidence-based practice projects, not a type of research project. C: Mixed methods research involves combining qualitative and quantitative methods, which is not the same as leading a QI project to improve medication administration.

Correct Answer: C

Rationale: In the working phase of the nurse-client relationship, the focus is on implementing interventions to address the client's issues. In this scenario, the nurse is actively helping the client practice assertive communication techniques and providing positive feedback for improvement. This phase involves collaboration and active problem-solving to achieve therapeutic goals. A: Pre-interaction phase is about gathering information before meeting the client. B: Orientation phase is about establishing rapport and setting goals. D: Termination phase is about summarizing progress and preparing for closure. Therefore, the correct answer is C because it aligns with the active intervention and problem-solving nature of the working phase.

Correct Answer: B

Rationale: The correct answer is B: State law, which may vary from state to state. State laws govern the scope of practice for healthcare professionals, including registered nurses in psychiatric inpatient facilities. Each state has its own Nurse Practice Act outlining the specific duties and responsibilities RNs can perform. National organizations like NAMI, NLN, and federal laws do not dictate the scope of practice for RNs in specific settings. It is crucial for nurses to be aware of and adhere to the regulations set forth by their respective state to ensure safe and legal practice.

Correct Answer: B

Rationale: The correct initial nursing action for a client wanting to leave against medical advice from an inpatient locked psychiatric unit is to check the client's admission status and discuss the reasons for wanting to leave (Choice B). This approach allows the nurse to assess the client's mental status, risk factors, and reasons for wanting to leave, which are essential for providing appropriate care and interventions. By understanding the client's perspective and concerns, the nurse can work collaboratively with the client to address underlying issues and potentially prevent harm. Choices A, C, and D are incorrect because they do not prioritize understanding the client's reasons for wanting to leave or assessing the client's mental status and risk factors. Choice A dismisses the client's request without exploring the underlying issues. Choice C focuses on punitive measures rather than therapeutic communication. Choice D, placing the client on one-on-one observation, does not address the client's concerns or reasons for wanting to leave.

Correct Answer: A

Rationale: The correct answer is A because brief psychodynamic therapy is typically suitable for individuals with specific, time-limited issues like the aftermath of an extramarital affair. This type of therapy focuses on exploring unconscious conflicts and patterns related to the specific problem. Choices B, C, and D present more complex and severe issues that would likely require longer-term or more intensive therapies such as cognitive-behavioral therapy, dialectical behavior therapy, or medical interventions. It is important to match the therapy approach to the individual's needs and presenting concerns.